Mindfulness Training for Primary Care for Portuguese-Speaking Immigrants: A Pilot Study

Trombka, Marcelo; Creedon, Timothy B.; Demarzo, Marcelo; Cuoco, Letícia T; Smith, Lydia; Oxnard, Alexandra C; Rozembaque, Alana T; Hirayama, Márcio Sussumu; Moreno, Natalia; Comeau, Alexandra; Gawande, Richa; Griswold, Todd; Cook, Benjamin Lê; Rocha, Neusa Sica da; Schuman‐Olivier, Zev

doi:10.3389/fpsyt.2021.664381

Cited by 9 publications

(7 citation statements)

References 99 publications

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“…Studies pointed to some common sources of support and stress found in community and work (Joseph, 2011; Rocha et al, 2021, 2022; Trombka et al, 2021).…”

Section: Resultsmentioning

confidence: 99%

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Brazilian immigrants in the United States and mental health: An integrative review

Brisola

Reis

Costa

et al. 2023

Int J Soc Psychiatry

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Background: Brazilian immigrants are becoming a more visible minority and, although different from other Latinos (in a linguistic, cultural, historical, and ethnic sense), are usually either counted as Latinos, not included in the Latino samples or simply overlooked in research studies. It is essential to understand the stress and pressures they undergo and appreciate their singular perspective and culturally-infused experiences to meet their needs and improve their mental healthcare and quality of life in the United States. Aim: The aim of this review is to understand and describe the experience of Brazilian immigrants in the U.S., related to mental health, assessing what studies have addressed and what is still needing to be researched. Method: We carried out an integrative review of peer-reviewed articles published between 2011 and 2022 using PychInfo, PubMed, and Proquest, addressing mental health of Brazilian immigrants in the United States. Results: A total of 10 articles were included revealing the interest of a variety of fields and uncovering three themes: (1) mental healthcare needs (especially warmth and understanding of culture), (2) common sources of support and stress in the community and work, and (3) Socioeconomic aspects related to their mental health, including discrimination, work-life balance, neighborhood cohesion, and acculturation. Conclusions: Results may be useful to practitioners, researchers, and policy makers, who should be attentive to client’s familiarity with the English language, their sources of support, spirituality, specific Brazilian traits, their feeling of ‘being invisible’, life in community, and their previous experiences with healthcare in Brazil.

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“…Studies pointed to some common sources of support and stress found in community and work (Joseph, 2011; Rocha et al, 2021, 2022; Trombka et al, 2021).…”

Section: Resultsmentioning

confidence: 99%

“…A pilot study with Portuguese-speaking persons (93.3% born in Brazil) offered support through mindfulness training for 30 men and women diagnosed with depression and anxiety disorders (Trombka et al, 2021). This trauma-informed treatment targeted immigrants who did not have many treatment options in their language.…”

Section: Resultsmentioning

confidence: 99%

Brazilian immigrants in the United States and mental health: An integrative review

Brisola

Reis

Costa

et al. 2023

Int J Soc Psychiatry

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“…Practicing mindfulness helps individuals tolerate and handle negative experiences and assess them with an open mind and compassionate attitude. In addition, acceptance processes stimulated by mindfulness practice could also reduce negative effects ( 39 , 40 ). The mindfulness scores significantly improved in both sexes.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of virtual mindfulness-based interventions on perceived anxiety and depression of physicians during the COVID-19 pandemic: A pre-post experimental study

et al. 2023

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BackgroundThe outbreak of coronavirus disease 2019 (COVID-19) created unprecedented stress on physicians. Mindfulness is a type of meditation that focuses on being fully present, aware of senses, and emotions in the present moment without analyzing or judging them, and it may help reduce psychological distress in physicians. This study aimed to examine the effectiveness of virtual mindfulness-based intervention (MBI) on physicians’ perceived anxiety and depression and different facets of mindfulness.MethodsDuring the COVID-19 pandemic, an online survey was administered to physicians to assess depression, anxiety, and awareness using the 9-item Patient Health Questionnaire (PHQ-9), 7-item General Anxiety Disorder (GAD-7), and Five-Facets Mindfulness Questionnaire (FFMQ), respectively. Physicians that received the virtual MBI sessions also completed post-questionnaires at a 3-week follow-up time point.ResultsA total of 125 physicians responded to the online survey, with 56 completing the MBI. The prevalence of moderate to severe anxiety and depression was 45.0 and 46.7%, respectively. Mindfulness scores were negatively associated with depression (r = −0.38, P < 0.001) and anxiety (r = −0.36, p < 0.001). Mindfulness scores for the 56 physicians who received virtual MBI sessions were significantly improved (mean difference ± SD, 17.7 ± 16.1, p = 0.001). Significant reductions were also evidenced in anxiety (4.4 ± 4.2) and depression (4.5 ± 5.1) scores (p’s < 0.001). There was also an improvement in mindfulness facets of observing (5.1 ± 4.7), describing (2.3 ± 4.3), acting with awareness (2.7 ± 5.3), non-judging of inner experience (3.6 ± 6.1), and non-reactivity to inner experience (3.9 ± 4.0) (p’s < 0.001). A facet of mindfulness, acting with awareness was most efficiently associated with improved anxiety (B = −0.3, p = 0.02) and depression (B = −0.4, p = 0.01).ConclusionThis study has demonstrated that virtual MBI improved physicians’ psychological wellbeing and mindfulness during the crisis. Regular mindfulness practice may help physicians to tolerate and handle unpleasant circumstances, such as future epidemics or pandemics.

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“…Testing approaches to implementation in other healthcare systems, replication by independent groups, and replication of MTPC studies in other languages (e.g., Portuguese; Trombka et al, 2021, Spanish) and cultures should be the focus of future work. MTPC’s impact on health care utilization and associated costs (Mccubbin et al, 2014) should also be evaluated.…”

Section: Discussionmentioning

confidence: 99%

Impact of warm mindfulness on emotion regulation: A randomized controlled effectiveness trial.

Gawande¹,

Smith²,

Comeau³

et al. 2023

Health Psychology

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Objective: To determine the effects of mindfulness training for primary care (MTPC), an integrated warm mindfulness training program, on emotion regulation and its relationship with health behavior change. Interventions that improve self-regulation, particularly emotion regulation, are needed for the self-management of comorbid chronic physical and mental illnesses. Mindfulness-based interventions (MBIs) may impact self-regulation and facilitate health behavior change. Method: A randomized controlled comparative effectiveness trial was conducted in a population of adult primary care patients to evaluate the impact of MTPC versus a low-dose mindfulness comparator (LDC) on self-reported difficulties in emotion regulation (DERS) total score and other assays of self-regulation at baseline, Weeks 8 and 24. Self-reported action plan initiation was reported between Weeks 8 and 10. Participants had diagnoses of anxiety, depression, or stress-related disorders. MTPC is an 8-week insurance-reimbursable warm MBI designed to cultivate mindfulness and self-compassion and to catalyze chronic illness self-management related health behavior change. Results: Compared to LDC, MTPC participants had statistically significant reductions in DERS total score at 8 weeks (d = −0.59, β = −12.98, 95% CI [−23.3 to −2.6]; p = .01) and 24 weeks (d = −0.61, β = −13.35, [−24.3, −2.4]; p = .02). Compared to 38% for LDC, 63% of MTPC participants successfully initiated their action plan within 3 weeks (OR = 2.87, [1.1, 7.9]; p = .04). Conclusions: This randomized controlled trial demonstrated MTPC enhanced emotion regulation and facilitated initiation of chronic illness self-management and health behavior change among primary care patients with anxiety, depression, and stress-related disorders, replicating previous reports.

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Mindfulness Training for Primary Care for Portuguese-Speaking Immigrants: A Pilot Study

Cited by 9 publications

References 99 publications

Brazilian immigrants in the United States and mental health: An integrative review

Brazilian immigrants in the United States and mental health: An integrative review

Effectiveness of virtual mindfulness-based interventions on perceived anxiety and depression of physicians during the COVID-19 pandemic: A pre-post experimental study

Impact of warm mindfulness on emotion regulation: A randomized controlled effectiveness trial.

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